Search › Oregon › 103K00000X
Stacy Jackson, N/A
NPI 1376012609 · on the registry since 2018 · sole proprietor
Practice
- Address
- 3762 Amber St Ne Apt 102
Salem, OR 97301 - Phone
- (971) 239-2390
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Sex
- Female
- Record last updated
- 2018-11-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon